<!DOCTYPE html>
<html lang="en">
<head>
    <meta charset="UTF-8">
    <meta name="viewport" content="width=device-width, initial-scale=1, user-scalable=no">
    <title>申办食品经营许可证</title>
    <!-- head 中 -->
    <link rel="stylesheet" href="#(basePath)/static/jquery-weui/css/weui.min.css">
    <link rel="stylesheet" href="#(basePath)/static/jquery-weui/css/jquery-weui.min.css">
    <link rel="stylesheet" href="#(basePath)/static/web/index/css/index.css">


</head>

<body>
<div class="page">
    <div class="page__hd">

        #include("/WEB-INF/main/top.html")
    </div>
    <div class="page__bd page__bd_spacing">
        <div class="weui-cells_sjz">
            <div class="weui-msg_c" style="">
                <div class="weui-msg__text-area_c" style="margin-bottom: 10px;padding-left: 40%">
                    <div class="weui-progress" style="width: 100%;">
                        <i class='#(sbxx.QYXX=="1"?"weui-icon-success-no-circle":"weui-icon-cancel")'></i>
                        <div class="weui-progress__bar">
                            <div class="weui-progress__inner-bar js_progress" style="width: 0%;"></div>
                        </div>
                    </div>
                </div>
                <div class="weui-msg__text-area_c">
                    <h2 class="weui-msg__title_c">企业信息</h2>
                </div>
            </div>
            <div class="weui-msg_c" style="">
                <div class="weui-msg__text-area_c" style="margin-bottom: 10px">

                    <div class="weui-progress" style="width: 100%;">
                        <div class="weui-progress__bar">
                            <div class="weui-progress__inner-bar js_progress" style="width: 0%;"></div>
                        </div>

                        <i class='#(sbxx.ZZXX=="1"?"weui-icon-success-no-circle":"weui-icon-cancel")'></i>
                        <div class="weui-progress__bar">
                            <div class="weui-progress__inner-bar js_progress" style="width: 0%;"></div>
                        </div>
                    </div>
                </div>
                <div class="weui-msg__text-area_c">
                    <h2 class="weui-msg__title_c">证照信息</h2>
                </div>
            </div>
            <div class="weui-msg_c" style="">
                <div class="weui-msg__text-area_c" style="margin-bottom: 10px">
                    <div class="weui-progress" style="width: 100%;">
                        <div class="weui-progress__bar">
                            <div class="weui-progress__inner-bar js_progress" style="width: 0%;"></div>
                        </div>
                        <i class='#(sbxx.FRXX=="1"?"weui-icon-success-no-circle":"weui-icon-cancel")'></i>
                        <div class="weui-progress__bar">
                            <div class="weui-progress__inner-bar js_progress" style="width: 0%;"></div>
                        </div>
                    </div>
                </div>
                <div class="weui-msg__text-area_c">
                    <h2 class="weui-msg__title_c">法人信息</h2>
                </div>
            </div>
            <div class="weui-msg_c" style="">
                <div class="weui-msg__text-area_c" style="margin-bottom: 10px">
                    <div class="weui-progress" style="width: 60%;">
                        <div class="weui-progress__bar">
                            <div class="weui-progress__inner-bar js_progress" style="width: 0%;"></div>
                        </div>
                        <i class='#(sbxx.SBXX=="1"?"weui-icon-success-no-circle":"weui-icon-cancel")'></i>

                    </div>
                </div>
                <div class="weui-msg__text-area_c">
                    <h2 class="weui-msg__title_c">申报信息</h2>
                </div>
            </div>

        </div>
        <form action="#(basePath)/wfw/wsbs/saveFrxx" method="post" data-role="form" data-fixed="true"
              next_url="#(basePath)/toSb?sblx=1&step=sbxx">
            <input type="hidden" name="id" value="#(data.id??)">
            <div class="weui-cells__title">法定代表人（负责人）信息</div>
            <div class="weui-cells weui-cells_form">
                <div class="weui-cell">
                    <div class="weui-cell___hd"><label class="weui-label">姓名</label></div>
                    <div class="weui-cell___bd">
                        <input class="weui-input" type="text" required name="name" value="#(data.name??)" placeholder="请输入姓名">
                    </div>
                </div>

                <div class="weui-cell weui-cell_select weui-cell_select-after">
                    <div class="weui-cell__hd">
                        <label class="weui-label">性别</label>
                    </div>
                    <div class="weui-cell__bd">
                        <select class="weui-select" required name="sex" >
                            <option value="">请选择</option>
                            <option value="1" #(data.sex??=="1"?"selected":"") #(data.sex??=="男"?"selected":"")>男</option>
                            <option value="2" #(data.sex??=="2"?"selected":"")  #(data.sex??=="女"?"selected":"")>女</option>
                            <!--  <option value="2">第三方网站</option>-->
                        </select>
                    </div>
                </div>
                <div class="weui-cell weui-cell_select weui-cell_select-after">
                    <div class="weui-cell__hd">
                        <label class="weui-label">民族</label>
                    </div>
                    <div class="weui-cell__bd">
                        <select class="weui-select" required name="nation">
                            <option value="" #(data.nation??=="0"?"selected":"")>请选择</option>
                            <option value="汉" #(data.nation??=="汉"?"selected":"")>汉族</option>
                            <option value="壮" #(data.nation??=="壮"?"selected":"")>壮族</option>
                            <option value="满" #(data.nation??=="满"?"selected":"")>满族</option>
                            <option value="回" #(data.nation??=="回"?"selected":"")>回族</option>
                            <option value="苗" #(data.nation??=="苗"?"selected":"")>苗族</option>
                            <option value="维吾尔" #(data.nation??=="维吾尔"?"selected":"")>维吾尔族</option>
                            <option value="土家" #(data.nation??=="土家"?"selected":"")>土家族</option>
                            <option value="彝" #(data.nation??=="彝"?"selected":"")>彝族</option>
                            <option value="蒙古"  #(data.nation??=="蒙古"?"selected":"")>蒙古族</option>
                            <option value="藏"  #(data.nation??=="藏"?"selected":"")>藏族</option>
                            <option value="布依"  #(data.nation??=="布依"?"selected":"")>布依族</option>
                            <option value="侗"  #(data.nation??=="侗"?"selected":"")>侗族</option>
                            <option value="瑶"  #(data.nation??=="瑶"?"selected":"")>瑶族</option>
                            <option value="朝鲜" #(data.nation??=="朝鲜"?"selected":"")>朝鲜族</option>
                            <option value="白"  #(data.nation??=="白"?"selected":"")>白族</option>
                            <option value="哈尼" #(data.nation??=="哈尼"?"selected":"")>哈尼族</option>
                            <option value="哈萨克"  #(data.nation??=="哈萨克"?"selected":"")>哈萨克族</option>
                            <option value="黎"  #(data.nation??=="黎"?"selected":"")>黎族</option>
                            <option value="傣" #(data.nation??=="傣"?"selected":"")>傣族</option>
                            <option value="畲" #(data.nation??=="畲"?"selected":"")>畲族</option>
                            <option value="傈僳" #(data.nation??=="傈僳"?"selected":"")>傈僳族</option>
                            <option value="仡佬"  #(data.nation??=="仡佬"?"selected":"")>仡佬族</option>
                            <option value="东乡"  #(data.nation??=="东乡"?"selected":"")>东乡族</option>
                            <option value="高山" #(data.nation??=="高山"?"selected":"")>高山族</option>
                            <option value="拉祜"  #(data.nation??=="拉祜"?"selected":"")>拉祜族</option>
                            <option value="水"  #(data.nation??=="水"?"selected":"")>水族</option>
                            <option value="佤"  #(data.nation??=="佤"?"selected":"")>佤族</option>
                            <option value="纳西"  #(data.nation??=="纳西"?"selected":"")>纳西族</option>
                            <option value="羌" #(data.nation??=="羌"?"selected":"")>羌族</option>
                            <option value="土"  #(data.nation??=="土"?"selected":"")>土族</option>
                            <option value="仫佬" #(data.nation??=="仫佬"?"selected":"")>仫佬族</option>
                            <option value="锡伯" #(data.nation??=="锡伯"?"selected":"")>锡伯族</option>
                            <option value="柯尔克孜" #(data.nation??=="柯尔克孜"?"selected":"")>柯尔克孜族</option>
                            <option value="达斡尔"  #(data.nation??=="达斡尔"?"selected":"")>达斡尔族</option>
                            <option value="景颇"  #(data.nation??=="景颇"?"selected":"")>景颇族</option>
                            <option value="毛南"  #(data.nation??=="毛南"?"selected":"")>毛南族</option>
                            <option value="撒拉" #(data.nation??=="撒拉"?"selected":"")>撒拉族</option>
                            <option value="布朗" #(data.nation??=="布朗"?"selected":"")>布朗族</option>
                            <option value="塔吉克" #(data.nation??=="塔吉克"?"selected":"")>塔吉克族</option>
                            <option value="阿昌"  #(data.nation??=="阿昌"?"selected":"")>阿昌族</option>
                            <option value="普米"  #(data.nation??=="普米"?"selected":"")>普米族</option>
                            <option value="鄂温克"  #(data.nation??=="鄂温克"?"selected":"")>鄂温克族</option>
                            <option value="怒"  #(data.nation??=="怒"?"selected":"")>怒族</option>
                            <option value="京"  #(data.nation??=="京"?"selected":"")>京族</option>
                            <option value="基诺"  #(data.nation??=="基诺"?"selected":"")>基诺族</option>
                            <option value="德昂"  #(data.nation??=="德昂"?"selected":"")>德昂族</option>
                            <option value="保安"  #(data.nation??=="保安"?"selected":"")>保安族</option>
                            <option value="俄罗斯" #(data.nation??=="俄罗斯"?"selected":"")>俄罗斯族</option>
                            <option value="裕固"  #(data.nation??=="裕固"?"selected":"")>裕固族</option>
                            <option value="乌兹别克" #(data.nation??=="乌兹别克"?"selected":"")>乌兹别克族</option>
                            <option value="门巴"  #(data.nation??=="门巴"?"selected":"")>门巴族</option>
                            <option value="鄂伦春"  #(data.nation??=="鄂伦春"?"selected":"")>鄂伦春族</option>
                            <option value="独龙"  #(data.nation??=="独龙"?"selected":"")>独龙族</option>
                            <option value="塔塔尔"  #(data.nation??=="塔塔尔"?"selected":"")>塔塔尔族</option>
                            <option value="赫哲"  #(data.nation??=="赫哲"?"selected":"")>赫哲族</option>
                            <option value="珞巴"  #(data.nation??=="珞巴"?"selected":"")>珞巴族</option>

                        </select>
                    </div>
                </div>
                <div class="weui-cell">
                    <div class="weui-cell___hd"><label class="weui-label">职务</label></div>
                    <div class="weui-cell___bd">
                        <input class="weui-input" required name="post" value="#(data.post??)" type="text" placeholder="请输入职务" readonly>
                    </div>
                </div>
                <!-- <div class="weui-cell">
                     <div class="weui-cell___hd"><label class="weui-label">户籍地址</label></div>
                     <div class="weui-cell___bd">
                         <input class="weui-input" type="text" required name="place" value="#(data.place??)" placeholder="请输入户籍地"
                                id='city-picker'>
                     </div>
                 </div>-->
                <div class="weui-cell">
                    <div class="weui-cell___bd">
                        <input class="weui-input" type="text" required name="detailedPlace" value="#(data.detailedPlace??)"
                               placeholder="请输入户籍地详细地址（XXX镇）">
                    </div>
                </div>
                <div class="weui-cell">
                    <div class="weui-cell___hd"><label class="weui-label">住所地址</label></div>
                    <div class="weui-cell___bd">
                        <input class="weui-input" type="text" required name="live" value="#(data.live??)" placeholder="请输入居住场所"
                               id='live-picker'>
                    </div>
                </div>
                <div class="cuiui-cell">
                    <div class="weui-cell__bd weui-cell__primary">
                        <textarea id="detailedLive" name="detailedLive"  required class="weui-textarea" placeholder="请输入居住场所详细地址：（XX)镇（XX）村（XX）路（XX）号" rows="2">#(data.detailedLive??)</textarea>
                        <div class="weui-textarea-counter"><span>0</span>/200</div>
                    </div>
                </div>
                <div class="weui-cell weui-cell_select weui-cell_select-after">
                    <div class="weui-cell__hd">
                        <label class="weui-label">证件类型</label>
                    </div>
                    <div class="weui-cell__bd">
                        <select class="weui-select" required name="idType">
                            <option value="1" #(data.idType??=="1"?"selected":"")>身份证</option>
                            <option value="2" #(data.idType??=="2"?"selected":"")>港澳通行证</option>
                            <!--  <option value="2">第三方网站</option>-->
                        </select>
                    </div>
                </div>
                <div class="weui-cell">
                    <div class="weui-cell___hd"><label class="weui-label">证件号码</label></div>
                    <div class="weui-cell___bd">
                        <input class="weui-input" type="text" required name="zjh" value="#(data.zjh??)"
                               placeholder="请输入证件号码">
                    </div>
                </div>
                <div class="weui-cell">
                    <div class="weui-cell___hd"><label class="weui-label">固定电话</label></div>
                    <div class="weui-cell___bd">
                        <input class="weui-input" type="tel" name="tel" value="#(data.tel??)" pattern="[0-9]*"
                               placeholder="请输入固定电话">
                    </div>
                </div>
                <div class="weui-cell">
                    <div class="weui-cell___hd"><label class="weui-label">移动电话</label></div>
                    <div class="weui-cell___bd">
                        <input class="weui-input" type="tel" required name="phone" value="#(data.phone??)" pattern="[0-9]*"
                               placeholder="请输入移动电话">
                    </div>
                </div>
                <div style="padding: 15px;">
                    <a href="javascript:void(0)" class="weui-btn weui-btn_primary" onclick="lastStep('zzxx')">上一步</a>
                    <button class="weui-btn weui-btn_primary" type="submit">下一步</button>
                </div>
                <br><br>
            </div>
        </form>

    </div>
    <div class="page__footer">

        #include("/WEB-INF/main/footer.html")
    </div>
</div>
<script>
    $("#city-picker").cityPicker({
        title: "请选择戶籍地址"
    });
    $("#live-picker").cityPicker({
        title: "请选择戶籍地址"
    });
</script>
</body>
</html>